| NPI | 1972142552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOYD AMIS Owner 574-536-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |